Active NPI
Nancy Bernthal, PHD
- Psychologist
- East Lansing, MI
National Provider Identifier
1851468839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301007895
- Practice address
- 3448 E Lake Lansing Rd
East Lansing, MI 48823-1511 - Phone
- (517) 332-3870
- Fax
- (517) 332-9247
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301007895 | MI | Primary |
Addresses
Primary practice location
3448 E Lake Lansing Rd
East Lansing, MI 48823-1511
Mailing address
3448 E Lake Lansing Rd
East Lansing, MI 48823-1511
Phone (517) 332-3870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6301007895 | Other | MI | LISCENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328918400000",
"number": "1851468839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3448 E LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488231511",
"telephone_number": "517-332-3870",
"fax_number": "517-332-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3448 E LAKE LANSING RD",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488231511",
"telephone_number": "517-332-3870",
"fax_number": "517-332-9247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNTHAL",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2012-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301007895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE NUMBER",
"identifier": "6301007895",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.